Claims Processor
About this role
Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. As a Claims Processor, you will review and process healthcare claims to ensure they are accurate, complete, and submitted according to payer requirements. You will work closely with billing and coding teams to identify discrepancies, resolve routine issues, and help ensure claims are processed efficiently and accurately.
WHAT YOU WILL DO
Review and process healthcare claims in accordance with payer requirements and established procedures
Verify claim information for accuracy, completeness, and consistency before submission
Apply payer-specific requirements and billing guidelines accurately and consistently
Identify claims requiring additional documentation, correction, or review and escalate as appropriate
Resolve routine claim discrepancies and errors within established guidelines
Work with billing and coding teams to investigate and resolve claim-related issues
Maintain accurate records of processed claims and follow established documentation procedures
Meet productivity and quality standards while maintaining a high level of accuracy
WHAT WE ARE LOOKING FOR
1+ year of experience in medical claims processing, healthcare billing, or a related revenue cycle role
Working knowledge of CMS-1500 and UB-04 claim forms
Understanding of basic medical billing terminology and payer requirements
Experience with a claims processing, billing, or practice management system
Strong attention to detail and ability to identify discrepancies in claim information
Ability to manage high-volume work while maintaining accuracy and meeting deadlines
Strong communication and problem-solving skills
HIPAA-compliant private workspace and ability to work effectively in a fully remote role
NICE TO HAVE
Experience working with multiple insurance payers
Medical coding knowledge or experience
Experience with claim corrections, denials, or appeals
Familiarity with electronic claims submission systems
Experience working with provider groups or hospitals
COMPENSATION AND BENEFITS
Compensation will be discussed during the interview and will reflect the candidate’s experience, qualifications, and relevant healthcare revenue cycle expertise.
Benefits and additional employment details will be discussed during the hiring process.
HIRING PROCESS
Application review → introductory conversation → practical assessment → hiring manager interview → offer.
EQUAL OPPORTUNITY
Raventra Health is an equal opportunity employer. We consider all qualified applicants without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. If you need an accommodation at any stage of the hiring process, please contact us and we will work with you to provide appropriate support.
Location: Remote
Originally posted on Himalayas